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- Title
Kidney Cancer Incidence and Mortality Among American Indians and Alaska Natives in the United States, 1990-2009.
- Authors
Jun Li; Weir, Hannah K.; Jim, Melissa A.; King, Sallyann M.; Wilson, Reda; Master, Viraj A.
- Abstract
Objectives. We describe rates and trends in kidney cancer incidence and mortality and identify disparities between American Indian/Alaska Native (AI/AN) and White populations. Methods. To improve identification of AI/AN race, incidence and mortality data were linked with Indian Health Service (IHS) patient records. Analysis focused on residents of IHS Contract Health Service Delivery Area counties; Hispanics were excluded. We calculated age-adjusted kidney cancer incidence (2001-2009) and death rates (1990-2009) by sex, age, and IHS region. Results. AI/AN persons have a 1.6 times higher kidney cancer incidence and a 1.9 times higher kidney cancer death rate than Whites. Despite a significant decline in kidney cancer death rates for Whites (annual percentage change [APC] =-0.3; 95% confidence interval [Cl] =-0.5, 0.0), death rates for AI/AN persons remained stable (APC = 0.4; 95% CI =-0.7, 1.5). Kidney cancer incidence rates rose more rapidly for AI/AN persons (APC = 3.5; 95% CI = 1.2, 5.8) than for Whites (APC = 2.1 ; 95% CI = 1.4, 2.8). Conclusions. AI/AN individuals have greater risk of developing and dying of kidney cancers. Incidence rates have increased faster in AI/AN populations than in Whites. Death rates have decreased slightly in Whites but remained stable in AI/AN populations. Racial disparities in kidney cancer are widening.
- Subjects
ALASKA; UNITED States; CONFIDENCE intervals; ETHNIC groups; INDIGENOUS peoples of the Americas; KIDNEY tumors; POPULATION; PUBLIC health; RACE; SERIAL publications; WHITE people; DATA analysis; TUMOR risk factors
- Publication
American Journal of Public Health, 2014, Vol 104, Issue S3, pS396
- ISSN
0090-0036
- Publication type
Article
- DOI
10.2105/AJPH.2013.301616